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BERGEN ENDOCRINOLOGY, PC
NPI 1023268976
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fair Lawn, NJ

Active since September 29, 2008
12-04 SADDLE RIVER RD, FAIR LAWN, NJ 07410(201) 773-8710(201) 773-8711 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bergen Endocrinology, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERGEN ENDOCRINOLOGY, PC (NPI 1023268976) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Fair Lawn, New Jersey and active in the NPI registry since September 2008. The organization lists Dima Yeshou, Md, as its authorized official.

NPPES Registry Identity

NPI1023268976
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameBERGEN ENDOCRINOLOGY, PC
Location Address12-04 SADDLE RIVER RDFair Lawn, NJ 07410-5811
Mailing Address560 Clinton RdParamus, NJ 07652 · (201) 967-8425 · Fax (201) 263-4665
Phone(201) 773-8710
Fax(201) 773-8711
Organization SubpartNo
Authorized OfficialDima YeshouMd · (201) 281-7835
Enumeration DateSeptember 29, 2008
Last NPPES UpdateOctober 13, 2015
✔ NPI 1023268976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NJ · 25MA08384100
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
12-04 SADDLE RIVER RD, Fair Lawn, NJ 07410
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN143089NJ
Medicaid0190861NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bergen Endocrinology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bergen Endocrinology, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dima Yeshou, MD
Endocrinology
NPI 1124287412
12-04 SADDLE RIVER RD
Fair Lawn, NJ 07410
(201) 773-8710
✔ PECOS✔ Accepts Medicare0.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bergen Endocrinology, PC's NPI number?

The NPI number for Bergen Endocrinology, PC is 1023268976. It was assigned to this organization in the NPPES registry on September 29, 2008.

Where is Bergen Endocrinology, PC located?

Bergen Endocrinology, PC is located at 12-04 Saddle River Rd, Fair Lawn, NJ 07410. The listed phone number is (201) 773-8710.

What is Bergen Endocrinology, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Bergen Endocrinology, PC enrolled in Medicare?

Yes. Bergen Endocrinology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bergen Endocrinology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Bergen Endocrinology, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bergen Endocrinology, PC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Bergen Endocrinology, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bergen Endocrinology, PC was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.